Individual
MS. SISELY ROSE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNE
Contact information
Practice address
425 SE 1ST ST APT 811, POMPANO BEACH, FL 33060-7567
(732) 895-3700
Mailing address
PO BOX 6298, TALLAHASSEE, FL 32314-6298
(732) 895-3700
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
RN9236361
FL
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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